DR. ROBERT WILSON (MD) – Child & Adolescent Psychiatry Physician, NPI 1336110279
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,871 PSYCHIATRY in PA
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Provider Addresses for DR. ROBERT WILSON (MD)
1330 W 26TH ST
ERIE, PA 165081402
Phone: (814) 456-9300
Type: Mailing
UPMC Medical Center, 1330, West 26th Street, South Suburban Erie, Erie, Erie County, Pennsylvania, 16508, United States
ERIE, PA 165081402
Phone: (814) 459-9300
Fax: (814) 454-7780
Type: Location
2808, State Street, Glenwood Heights, Erie, Erie County, Pennsylvania, 16508, United States
ERIE, PA 165081830
Phone: (814) 456-2457
Fax: (814) 456-7679
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $838.
Total Amount is formed as General ($838) + Research ($0) + Ownership ($0) = $838.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Medtronic, Inc. ($838).
Total Amount
$838
General + Research + Ownership
Payments
12
Total payment records
General Amount
$838
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $838 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080331000371 | I | Psychiatry | PA | TBD |
| I20220721002815 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Family Practice | TX | |
| - | CA | |
| Family Practice | AZ | |
| Clinical Social Worker | CA | |
| Internal Medicine | HI | |
| Family Practice | NJ | |
| Marriage And Family Therapist | CA | |
| Family Practice | CA | |
| O P T O M E T R Y | CA |
Reviews
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